Amanda Vicknair, APRN, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-148942 Issued in AL

Practice address

971 Airport Rd
Destin, FL 32541-2803

Phone

(850) 654-4641

Fax

(850) 654-9295

NPI assigned

Sep 20, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC, FL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Allergist of Florida LLCGroup PAC ID 9931232063, 23 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sacred Heart Hospital on the Emerald Coast Hospital, Miramar Beach, FL, CCN 100292

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: vicknair.amanda.006.0090427@avh.meditab.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Premier Allergist of Florida LLC

  • Allergy Physician
  • Sarasota, FL
  • NPI 1427237486
  Medicare reassignment Care Compare group NPD
• National Allergy Asthma & Urticaria Centers of Charleston, PA

  • Allergy Physician
  • Charleston, SC
  • NPI 1023103850
  Medicare reassignment NPD
• National Allergy Asthma & Urticaria Centers of Charleston PA

  • Allergy Physician
  • Charleston, SC
  • NPI 1932294766
  NPD
• National Allergy Asthma & Urticaria Centers of Charleston PA

  • Allergy Physician
  • Charleston, SC
  • NPI 1114012945
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ascension Sacred Heart Emerald Coast

  • General Acute Care Hospital
  • Miramar Beach, FL
  • NPI 1558391771
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1474329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766361600000",
    "number": "1891243788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "971 AIRPORT RD",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325412803",
            "telephone_number": "850-654-4641",
            "fax_number": "850-654-9295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "971 AIRPORT RD",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325412803",
            "telephone_number": "850-654-4641",
            "fax_number": "850-654-9295"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2401 SAINT ANDREWS BLVD",
            "address_purpose": "LOCATION",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324052170",
            "country_code": "US",
            "telephone_number": "850-785-2717",
            "fax_number": "850-785-2301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VICKNAIR",
        "first_name": "AMANDA",
        "credential": "APRN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-20",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-148942",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3010695",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Angel R Vasquez, DMD
• Amanda Nicholle Vaughn, COTA/L
• Erin Maige Vickers, MSN, APRN, FNP-BC
• Jessica Marie Virtue, LMT
• James A Vonderheide, LMT MA49956
• Wal-Mart Stores East , LP
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP

• Family Nurse Practitioner in Destin, FL
• Providers in Destin, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.